HERBS2



What You Should Know About Herbal & Dietary Supplement Use & Anesthesia



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IT'S IMPORTANT: so it is being Repeated

If you are taking Vitamins and or Herbs in addition to medication. It's in your best interest to visit these sites and check the  Safetychecker Indexed - By Herbal Remedy- and other relative links Link Access

Herb and drug interactions: "Natural" products are not always safe...Herbs have been used to heal the body and mind for thousands of years. If you're on medication, though, herbs can sometimes be dangerous. Exercise caution.Access link here

Toxic Effects & Drug Interactions Of Herbal Medicines Click to read specifics

Special Note

The American Society of Anesthesiologists Recommends You Stop Taking All Herbs Two ( 2 ) Weeks Before Surgery And Informing The Anthesiologist About Previous Use.

Why? Because " Some Herbs " Can Turn Normal Surgery Related Bleeding Risks into The Possibility Of A Life Treatening Hemorrhage. " Others " May Boost Anesthesia's Sedative Effect Or Cause Wide Blood Pressure Swings.

Word Of Caution

Remember that herbs are very powerful plants. After all, medicines are derived from herbs, and some herbs can be fairly potent. Be sure to visit Herbmed's and Puritan's Index on Testing and Analyzing, Side effects or interactions of Herbs..Warnings and other findings Before you ingest an herb. Sites are listed in "Other Links" below.

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What are Herbs?

Herbs include flowering plants, shrubs, trees, moss, fern, algae, seaweed or fungus. In most cultures, including Western culture, herbs are used not only as a part of the treatment of disease, but also in the enhancement of life, physically, emotionally and spiritually. Plant parts, includ­ing flowers, fruits, leaves, twigs, bark, roots or seeds, are all considered usable.

What are Dietary Supplements?


By definition, a dietary supplement is a product taken by mouth and intended to supplement the diet. These products may include: vitamins, minerals, herbs or other botanicals, amino acids and substances such as enzymes, organ tissues, glandulars and metabolites.

Are they Medicines?


The term "drug" comes from the ancient word for "root." Until the I930s, medical schools taught that plant drugs were the primary medicines available. In general, since that time, patented pharmaceuticals (prescription or over-the­counter medications) have replaced the herbs or "roots," which were either found too weak or unsafe. Like drugs or foods, medicinal plants (herbs) and dietary products (vitamins, minerals, amino acids) have many actions in the body.

Are such products Safe?


Sometimes, even if you take an herb or supplement for one certain reason, there can be other unintended reactions. NaturaL doesn't neccesarily mean safe

Herbal and dietary products have chemical properties just as manufactured drugs do. Like anything that we ingest (eat) or apply (like a salve), there can be side effects.

One of the major problems with many of the products on the market today is that the amount and the purity of their active ingredients vary so greatly from product to product. In many cases, you do not always know how much of the natural substance you are really getting in each dose or if other ingredients have been added.

Another problem is determining how much of each active ingredient is really safe, particularly over long term use. There are even case reports of contaminated herbs causing death.

Also, studies are being done to see how herbals and supplements react with other medications.

Does the federal government make sure that herbs and other dietary supplement are safe?


The government regulates herbal medicines in the same way that it regulates food and nutritional supplements.

BUT herbs and other dietary supplements do not undergo the same strict research requirements as prescription drugs or over-the-counter medications (like aspirin).

Whole plants cannot be patented (meaning that no one manufacturer has exclusive rights to an herb) and there fore, nonpharmaceutical companies that produce herbal products or dietary supplements are not obligated to do the same safety research that the Food and Drug Administration (FDA) requires for prescriptions or over­the-counter medications.

If the FDA has reason to suspect that an herb or dietary supplement is unsafe, then the agency may require it be removed from the market.

By law, however, the FDA cannot require testing of all herbal medicines and other dietary supplements before they are put on the shelf.

In what types of preparations are herbal medicines availabe?


Herbs are available in many forms, depending on the type of plant and its use. Some plants are best used fresh, but they are highly perishable. Dried, chopped or whole herbs can be steeped as teas (infusions) or simmered over low heat (decoctions).

Some fresh and/or dried herbs are preserved in alcohol (tinctures), while others are better suited to vinegar extracts (acetracts), syrups,glycerites (in vegetable glycerine)or miels (in honey).

Freeze dried or herbal powders also come in bulk, tablet, capsule,paste or concentrate (4-6 times regular strength). Other ways to administer herbs may be by suppositories, creams, gels, liniments,oils, compresses, steams,aromatics (oils) or baths.

Do I need to tell my doctor about all of the herbal productsand other supplementd that I take?


Yes.  It is absolutely essential that you tell your doctor about any treatments that you are using.

These include the use of herbal medicines, vitamins, nutritional supplements or any other prescribed or over-the-counter drugs.

Many of the popular herbal products on the market can cause harmful side effects or interact with your other medicines.

Could herbal medicines and other dietary supplementd affect my anesthesia if I need surgery?


Anesthesiologists are conducting research to determine exactly how certain herbs and dietary supplements interact with certain anesthetics.

They are finding that certain herbal medicines may prolong the effects of anesthesia. Others may increase the risks of bleeding or raise blood pressure.

Some effects may be subtle and less critical,but for anesthesiologists, anticipating a possible reaction is better than reacting to an unexpected condition. So(*)it is very important to tell your doctor about everything you are taking before surgery.

There are thousands of herbal products and dietary supplements currently on the market. Listed (*) below are examples of Some commonly used herbal and dietary products and their possible problems. Not all available products are listed. Check with your doctor if you have any questions about the prescription or non­prescription medications that you are taking.

AMERICAN SOCIETY OF ANESTHESIOLOGISTS...520 N. Northwest Highway...Park Ridge, Il 60068-2573...(847) 825-5586 . Fax (847) 825-1692 WWW,ASAhq.org
Copyright @ 2003. The American Society of AnesthesiologistS. All rights reserved...75M40BOO
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Launched: 3/27/2007



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